Ferreira Coelho J M, Aragao Morais J F, Roriz M L, de Castro M T, Ramos E P
Sem Hop. 1979;55(33-34):1542-8.
The authors describe a perplexing clinical picture in which an important factor for diagnosing the lesion in the gall-bladder was hyperselective arteriography of the coeliac trunk, and more especially the hepatic artery. The association of a truc septum in the gall-bladder, without gall-stones, and of another digestive tube lesion, megadolicho-sigmoid and diverticulosis of the sigmoid, would appear to be an extremely rare entity, and this has been the cause of the pain reported by the patient over many years. The cholecystectomy performed appears to be the right choice, and the most effective therapeutic procedure.
作者描述了一种令人困惑的临床情况,其中诊断胆囊病变的一个重要因素是腹腔干超选择性动脉造影,尤其是肝动脉造影。胆囊中存在真性隔膜但无胆结石,同时合并另一处消化道病变,即乙状结肠冗长症和乙状结肠憩室病,这种情况似乎极为罕见,而这正是患者多年来疼痛的原因。所实施的胆囊切除术似乎是正确的选择,也是最有效的治疗方法。